Office visit, established patient, 20-29 minutes in Illinois

What Illinois hospitals charge for office visit, established patient, 20-29 minutes (CPT 99213). Rates sourced from federally-mandated machine-readable files.

Hospitals
45
Rate rows
1,244
Neg. median
$117.15
Min
$17.8
Max
$418.46
Cash median
$160.8

Across 45 Illinois hospitals, the negotiated rate for Office visit, established patient, 20-29 minutes ranges from $17.8 to $418.46, with a median of $117.15. The interquartile range is $82 to $175.82. Cash-pay patients typically pay $160.8; gross charges median $295.

By payer in Illinois

Top 30 payers for Office visit, established patient, 20-29 minutes in Illinois.

PayerHospitalsRatesMedian rate
Blue Cross Blue Shield28136$123.95
Cigna2757$124.66
Aetna2588$100.16
UnitedHealthcare23104$119.18
Multiplan1839$236
Humana1541$87.57
Molina1032$59.8
advocate employee918$122.58
private healthcare systems917$221.25
meridian720$62.67
healthlink619$182.75
WellCare613$65.23
amerivantage44$63.38
health partners open network44$83.62
Medicaid45$183.18
community partners health plan (cphp)34$152.96
First Health34$184.5
prime health services36$103.6
Self-Pay (Cash)33$59.5
deidentifiedlower25$85.5
deaconess onecare24$68.4
alliance coal23$87.4
county care22$183.18
Medicare27$92.64
meridian health plan26$63.36
Medicare Advantage223$92.64
noncontracted23$101.33
deidentifiedhigher25$85.5
health alliance213$137
illinicare22$183.18

Hospital comparison — Office visit, established patient, 20-29 minutes in Illinois

Sorted by lowest negotiated median rate. Up to 100 hospitals.

HospitalCityNegotiated medianCash rateGross charge
Union County Hospital DistrictAnna$63.33$59.5$170
Heartland Regional Medical CenterMarion$83.88$59.5$170
Hammond-Henry HospitalGeneseo$85.5
Swedishamerican HospitalRockford$92.64$29.57$184.8
Carle Bromenn Medical CenterNormal$92.64$299$299
Carle Foundation HospitalUrbana$92.64$215$215
Proctor HospitalPeoria$93.2$160.8$201
Methodist Medical Ctr Of IllinoisPeoria$93.2$160.8$201
Pekin Memorial HospitalPekin$93.2$160.8$201
Trinity Rock IslandRock Island$96.19$160.8$201
Red Bud Regional HospitalRed Bud$102$59.5$170
Marshall Browning HospitalDuquoin$104
Presence St. Marys HospitalKankakee$117.15$167.64$508
Presence Saint Francis HospitalEvanston$117.15$167.64$508
Presence Saint Joseph Hospital ElginElgin$117.15$167.64$508
Presence Saint Joseph Hosp-ChicagoChicago$117.15$167.64$508
Sparta Community HospitalSparta$119.26$178$178
Carle Eureka HospitalEureka$128.94$254.5$254.5
Kirby HospitalMonticello$137.8$155.4$259
Advocate Lutheran General HospitalPark Ridge$144.04$147.5$295
South Suburban HospitalHazelcrest$144.04$147.5$295
Advocate Northside Health SystemChicago$144.04$147.5$295
Advocate Christ HospitalOak Lawn$144.04$147.5$295
Advocate Southland HospitalChicago$144.04$147.5$295
Condell Medical CenterLibertyville$147.95$147.5$295
Good Shepherd HospitalBarrington$148.7$147.5$295
Advocate Good Samaritan HospitalDowners Grove$148.7$147.5$295
Advocate Sherman HospitalElgin$155.17$147.5$295
Valley West Community HospitalSandwich$174.64$221.2$316
Presence Saints Mary & Elizabeth MedChicago$178.43$427.18$806
Alexian Brothers Medical CenterElk Grove Village$183.18
St. Alexius Medical CenterHoffman Estates$183.18
Alexian Brothers Behavioral HealthHoffman Estates$196.59
Warner Hospital And Health ServicesClinton$235.45$277$277
Community Hospital Of StauntonStaunton$60.18$120.35
Washington County HospitalNashville$185.6$216.5
Board Of Trustees Of The UniversityChicago$179.85$367.5
Memorial Medical CenterSpringfield$311$311
Decatur Memorial HospitalDecatur$270$270
Midwest Medical CenterGalena$129.22$142
Gateway RegionalGranite City$169.03$281.71
Jacksonville Memorial HospitalJacksonville$311$311
Jackson Park HospitalChicago$227.39$284.24
Jacksonville Memorial HospitalJacksonville$384$384
Anderson HospitalMaryville$164.35$328.7